| NPI | 1083461248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2377937) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2377937) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-12-12 |